Job Description

Hospital Pharmacy Billings Manager - PtretoriaJob SummaryLetsLink is assisting a Private Hospital based in Centurion to employ a Billings Manager.The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution.Key accountabilities and responsibilities:Ensure effective patient liaison and dispute resolutionEnsuring daily, weekly and monthly tasks as per Billing Manager level of task documentMonitoring and maintenance of the DNYB and delayed weightingMonitoring and maintenance of PIP casesMonitoring and maintenance of high cost medication as per policyMonitoring and maintenance of claim rejectionsMaintain set targets as indicated on the BSCMonitoring and reporting on MHC varianceMonitoring of ADCLIN system to ensure clinical appropriatenessEnsure accuracy of ICD 10 AND CPT 4 codingAnalysis of billing errors with appropriate action plansManagement of ARS and other contracts and associated reportingEnsuring SOPxe2x80x99s are up to dateEffective management of cancelled casesManage results on all auditsImplement changes effectivelyMotivation of system enhancements and adaptationsManage credit control queries as per communication policyEnsure effective communication and follow through with medical aidsManage associated administrative tasksAssist with any other duties assigned by the Pharmacy Manager from time to timeAssume responsibility for own personal and professional developmentKeep up to date with the hospitals evolving policies and proceduresSkills Required:Grade 12 or Equivalent NQF Level 4 qualificationsQualified Registered Nurse registered with SANC3-5 years experience in a similar roleAdvanced computer literacySound knowledge of Private Hospital Pharmacy business operationsSound knowledge of medical/healthcare billings and tariff guidelinesApplication of clinical knowledge in the risk management of patientsInterested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or apply directly through this platform. To learn more, please contact Gary on +27(0)110261907Please view our website: www.letslink.co.za

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